This study aims to describe the forms of bureaucratic pathology occurring in public administration practices in Indonesia through a case study in local government institutions. The research method used is descriptive qualitative with a case study approach. Data collection techniques were conducted through in-depth interviews, observation, and documentation. The findings show that bureaucratic pathology in the forms of corruption, nepotism, and inefficiency still dominates public service delivery. Corruption appears in budget misuse, nepotism in the appointment of officials based on family ties, and inefficiency is evident in slow and unresponsive bureaucratic procedures. This study emphasizes the need for comprehensive bureaucratic reform to reduce such pathologies.
                        
                        
                        
                        
                            
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